Impact: Implementation of a multisectoral programme to improve Indigenous adolescent mental health in Brazil and Dominica

摘要由土著青年为这项提议征求意见。我们需要这项研究的地方：许多土著人民生活在拉丁美洲和加勒比地区，大多数人处于贫困状态。心理健康问题频繁，包括青少年自杀和吸毒，这是我们非常关注的。因此，有必要开展研究，帮助有心理健康问题的青少年，同时尊重土著文化。青春期是一个复杂的人生阶段，特别是对于土著人民来说，他们也经历了许多问题，如暴力、歧视和资源不足。由于这些原因，土著青少年有心理健康问题是很常见的，这就是为什么培训土著卫生专业人员和村里的其他人来帮助面临问题的青少年很重要。为什么这个项目不同：研究人员经常向村子展示现成的研究，这会产生我们内心的不安全感，因为我们缺乏知识，或者因为研究人员想把他们的知识强加于人，而不考虑我们的知识，有时带着某种蔑视，这会产生深深的不满。因此，我们感到高兴的是，自从项目创建以来，我们就参与了这项研究，而且项目将由一个已经参与过土著人民项目的小组与我们一起开展。这项研究的建议是：这项研究的工作将在巴西和多米尼克两个国家的两个土著环境中进行，分四个工作流程。13所学校的约1500名青少年将参加。在第一个工作流程中，研究人员和村里的人以及青少年将共同开发心理健康促进信息，在学校活动期间在对话圈中讨论。他们还将修改已经用于帮助有心理健康问题的青少年的工具。在第二个工作流程中，他们将培训教师、土著卫生工作者、村长和其他社区领导人，以便将这些信息纳入我们的学校和社区活动。他们将培训教师和卫生工作者，以识别和管理常见的青少年心理健康问题。在第三个工作流程中，他们将培训像我们这样的土著年轻人如何进行研究，了解该方案是如何运作的，它是否有助于青少年，以及如何改进它。在第四个工作流程中，研究人员将支持土著青少年和老年青年撰写研究结果，并将其提交给我们的社区、全国和整个区域。我们还将共同举办活动，探讨研究结果如何加强我们学校和卫生系统应对土著青少年健康的能力。世卫组织将受益：许多人将从这项研究中受益，包括青少年和所有将接受执行和评估方案培训的人。提高对该区域各地土著社区的健康和福祉的认识也有重要的、更广泛和更长期的好处。

Abstract developed by Indigenous youths consulted for the proposal.WHY WE NEED THIS STUDY: Many Indigenous people live in Latin America and the Caribbean, most in a situation of poverty.Mental health problems are frequent, including suicide and drug use among teenagers, which we are very concerned about. So for usit is necessary to carry out studies that help adolescents with mental health problems but also respect the Indigenous culture.Adolescence is a complicated life stage, especially for Indigenous people who also experience many problems such as violence,discrimination and less resources. For these reasons it is common for Indigenous adolescents to have mental health problems, andthis is why it is important that Indigenous health professionals, and other people in the village, are trained to help adolescents who arefacing problems.WHY THIS PROJECT IS DIFFERENT: Researchers often present ready-made research to the village and this generates insecurity inus, due to our lack of knowledge, or because researchers want to impose their knowledge without considering ours, sometimes with acertain contempt, which generates deep dissatisfaction. Therefore, we are pleased that this research has involved us since the projectwas created and that the project will be carried out with us by a team that has already worked in projects with Indigenous people.WHAT THIS STUDY IS PROPOSING: The work in this study will take place in two Indigenous settings in two countries, Brazil andDominica, in four work streams. About 1500 adolescents in 13 schools will take part. In the first work stream, researchers and people of the village, and adolescents, will co-develop mental health promotion messages, to be discussed in conversation circles during school activities.They will also amend a tool that has already been used to help adolescents with mental health problems. In the second work stream, they will train teachers, Indigenous health workers, village Chiefs and other community leaders to incorporate these messages into our school andcommunity activities. They will train teachers and health workers to identify and manage common adolescent mental health problems.In the third work stream, they will train Indigenous young people like ourselves in how to do research, to understand how the programme worked, whether it helped adolescents and how it can be improved. In the fourth work stream, researchers will support Indigenous adolescents and older youths to write and present results of the study to our community, nationally and across the region. Together, we will also organize events on how findings can strengthen the capacity of our schools and health systems to respond to Indigenous adolescent health.WHO WILL BENEFIT: Many will benefit from this study including adolescents and all those who will be trained to implement and evaluate theprogramme. There are also important wider and longer-term benefits of raising awareness of the health and well-being of Indigenouscommunities across the region.